Solitary Aspergillus mycetoma of the kidney

A case of Aspergillus mycetoma of the kidney in a patient with lymphoblastoma receiving intensive cytostatic and steroid drugs is reported. Only four cases of Aspergillus infection of the kidney have so far been reported. Aspergillus infection of the kidney without disseminated fungal disease is a very rare clinical entity. In an extensive review of the world literature we have found only four cases previously reported [1-3], three in insulin-dependent diabetic patients and one in a patient with a ureteropelvic junction obstruction. Herein we describe the first case of a right kidney mycetoma in a patient with lymphoblastoma and treated intensively with cytostatic drugs and steroids.